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Houston Athletics Sports Medicine

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EMERGENCY ACTION PLAN

Emergency Defined: an unforeseen combination of circumstances and the resulting state that calls for immediate action. The athlete's life is in jeopardy or the athlete risks permanent impairment.

Emergency situations may arise at any time during athletic events. Expedient action must be taken in order to provide the best possible care to the athletes of emergency and/or life threatening conditions.

Development
Commit to writing
Identify EAP personnel/team
Determine EAP duties
Stress importance of COMMUNICATION (Calm/# of athletes/status/location-venue)
Determine location/quality of emergency equipment
Transportation considerations (location-venue/high risk events/status-protocols)
Specific venue sites

Specific emergency protocols

  • » CPR and AED Protocol
  • » Shock Protocol
  • » Concussion Management Protocol
  • » C-Spine Protocol
  • » Orthopedic Protocol
  • » Environment - Heat Illness Management/IV Fluid Replacement Protocol
  • » Lightning Safety Protocol
  • » Asthmatic Athlete Protocol
  • » Diabetic Athlete Protocol
  • » Sickle Cell Trait Protocol
  • » Non Traumatic Collapse
  • » Mental Health - Crisis

Rehearsals and in-services should be done on an annual and/or semi-annual basis

Personnel/Team
Sport supervisor - staff athletic trainer/team physician on site of practice/game
Primary - staff/student athletic trainer working under the sport supervisor
Auxiliary - staff athletic trainer off site, coaches, managers
Support - EMS personnel

  • Staff athletic trainers
  • Team physicians
  • Student athletic trainers
  • Coaches
  • Managers
  • EMT personnel

Duties/role:
Sport supervisor

  • Arrange and know what personnel will be available for events
  • Arrange and know location of communication system (land/cell)
  • Arrange proper emergency equipment
  • Know venue and location
  • Primary survey (certification update)
  • Determine nature of injury

Determine transport decision

  • Activate EMS
  • Instruct primary personnel
  • Instruct auxiliary personnel
  • Initiate protocols; CPR, AED, stabilization, immobilizing/splinting, etc.

Primary personnel

  • Follow directions of sport supervisor
  • Follow emergency equipment retrieval
  • Follow emergency phone procedures
  • Meet ambulance

Auxiliary personnel

  • Follow directions of sport supervisor
  • Follow directions of primary personnel

Support personnel

  • Follow their local/state/federal protocols

Communication
Stay calm
Dial 911
State name, phone number, location and emergency
Number of victims
Status of victims
First aid treatment initiated
Specific directions to location
Any other information requested by dispatcher
Do not hang up first!

Locations:See appendix for detailed EAP - Sites
Main Training Room:3204 Cullen Blvd./Lot 15 G
Football practice fields:3875 Holman St./Lot 15 C
Hofheinz:3875 Holman/Cullen Blvd., Lot 15 A
Guy V. Lewis Devel Facility3480 Cullen Blvd., Lot 15 A
Baseball stadium:3204 Cullen Blvd./Lot 15 G
Tennis courts:3204 Cullen Blvd./Lot 15 G
TDECU stadium:3600 Cullen Blvd./Lot 15 D Southwest entrance
Track, Softball, Soccer field:3500 Elgin Street/Lot 15 H
Swimming pool:4500 University Drive

Football Game Communication: During football games the sports medicine staff will utilize radios to communicate between themselves. The staff will located in the following locations.
        Home Sideline----- 3 ATCs and a team physician
        Visitor Sideline---- 1 ATC

Also to enhance the communication to the visiting team the respective sports medicine staffs will meet 30 to 60 minutes prior to kickoff and discuss On-site emergency action plan including radio communication with home staff members with radios. EMT personnel will be also communicated by a sports medicine staff prior to kickoff regarding to EAP and transportation.

Other Sports Venue Communication: in all other sports an effort will be made by the host certified athletic trainer to meet the visiting athletic trainer and discuss EAP including location of emergency equipment, transportation, and access to near emergency facilities. Radios communication will be available as needed on site during venues.

Equipment
Equipment should be in good working condition, checked annually
Personnel should be trained annually on proper use (function and operation)
Personnel should know location of equipment, updated annually
Equipment should be stored in a clean and readily accessible location

Transportation considerations
Sport supervisor is responsible for making sure an ambulance and appropriate personnel are present at high-risk events
Designate an appropriate location for the ambulance
Sport supervisor will determine emergencies requiring critical intervention and transport decisions

Protocols
Primary survey: (Early - Access/CPR/AED/Advanced care = Check - Call - Care)

Scene Survey:Inspect the scene for danger to yourself, MOI, and # of victims
LOC:Determine Level Of Consciousness; Mental status (AVPU)
 Alert; respond to Verbal; respond to Pain; Unresponsive
 Determine chief complaint (cc)
Call 911 
 
Airway:Open/clear airway
Breathing:Look, listen, and feel for sings of breathing
Circulation:Check pulse at carotid artery
Disability:PMSC: Pulse, Motor, Sensation, Capillary refill
 Motor and sensation - Spine injury
 Distal pulse (Circulation) - Extremity injury
Expose:Head to toe: Head/Neck/Chest/Abdomen/Pelvis/Extremities
 Look And Feel for Deformity, Open wounds, Tenderness, Swelling
Facilitate:Critical thinking; identify priority of athletes
 Initiate EAP protocols and transport decisions "if in doubt, transport out"

Secondary survey
Focused examination on areas identified in primary survey

Assess vitals

  • Pupil response (PEARL)
  • Blood pressure
  • Pulse
  • Respirations
  • Body temperature

History

  • Location of pain; chief complaint
  • SAMPLE history (Symptoms, Allergies, Medications, Past hx., Last meal, prior Events)
  • MOI

Inspection

  • Position and posture
  • Obvious deformity, open wounds, or swelling

Palpation

  • Bilateral alignment
  • Crepitus
  • Swelling
  • Point tender

Functional tests

  • Mental status
  • AROM/PROM/RROM
  • WB status

EAP - Site protocols

  1. Each facility and/or training room must have the following in visible sight.
    1. Emergency Action Plan / Blood Borne Pathogens (Laminated)
    2. Sharps Container
    3. Biohazard bag
    4. Gloves
    5. Spill cleaning materials e.g. sink and soap or hand sanitizer
  2. Each kit and/or venue i.e. football, soccer practice fields, must have the following.
    1. Emergency Action Plan / Blood Borne Pathogens (Laminated)
    2. Biohazard bag
    3. Gloves
    4. Spill cleaning materials e.g. sink and soap or hand sanitizer

Links

EAP Baseball Stadium Get Acrobat Reader

EAP Football Practice Fields Get Acrobat Reader

EAP Guy V Lewis Development Facility Get Acrobat Reader

EAP Indoor Track and Field and Volleyball Get Acrobat Reader

EAP Natatorium Get Acrobat Reader

EAP Outdoor Track and Field Get Acrobat Reader

EAP Softball Complex Get Acrobat Reader

EAP TDECU Stadium Get Acrobat Reader

EAP Tennis Complex Get Acrobat Reader

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